Perinatal, Outcome , High Risk ,Pregnancies,Stillbirth,Pre-Term,Post-Term
Perinatal, Outcome , High Risk ,Pregnancies,Stillbirth,Pre-Term,Post-Term
No Thumbnail Available
Date
2015-04-08
Authors
A/Gadir, Mashair
Journal Title
Journal ISSN
Volume Title
Publisher
UOFK
Abstract
This is a prospective and descriptive hospital based study aiming
to study the association between the sociodemographic and
reproductive profiles of mothers of high-risk pregnancy to
pregnancy out come. A total of 400 maternity patients, identified as
having high-risk pregnancy and their pregnancy outcome, in (OMH)
and (SUH) were studied.
The objectives of this study were to determine the perinatal
mortality and to assess the perinatal morbidity of fetuses of highrisk
mothers, to study the effect of current obstetrical intervention
on perinatal mortality and morbidity of fetuses of high- risk mothers
and to assess the admission to NICU among neonates of high–risk
pregnancies.
Sample size was taken as 1:6 SUH to OMH according to the
delivery rate in each hospitals/year (in SUH= 3,000 vs. OMH
18,000 delivery). Mothers were identified during labour or soon
before delivery, delivery was attended and a questionnaire on
mother and newborn was completed with follow up till day 6. The
outcome was 92%, 88.2% were live births in OMH and SUH
respectively, while perinatal deaths were 8 newborns in SUH
compared to 28 newborns in OMH and overall PMR of 117.6/1000
births in SUH to 79.8/1000 births in OMH. Adverse effects of
previous pregnancy affect on the outcome of the current
pregnancy, such as history of four or more pervious stillbirths
carried 100% chance of the current pregnancy to be stillbirth.
Antenatal care users were half of the mothers and 75% of the
mothers received tetanus toxoids.
The main maternal illnesses associated with perinatal losses
were APH, PIH and anaemia. Multiple gestation and breech
presentation carried high risk for both mothers and babies, while
foetal distress and prematurity were the main foetal causes of
perinatal losses. Type of delivery and obstetrical intervention were
selected according to the risk factor, although C/S was the major
type of delivery in this study.
Admission to NICU was appropriate and according to the need of
the newborn (19.8%). Majority of the newborns completed their first
week of life without complications (75.8%), while 8.4% developed
neonatal sepsis and 6.9% developed neonatal jaundice.
Description
Keywords
Perinatal, Outcome , High Risk ,Pregnancies,Stillbirth,Pre-Term,Post-Term